Perry C, Levine P A, Williamson B R, Cantrell R W
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Medical Center, Charlottesville 22908.
Arch Otolaryngol Head Neck Surg. 1988 Jun;114(6):632-4. doi: 10.1001/archotol.1988.01860180046027.
Forty-one patients undergoing surgery between 1977 and 1985 for malignant tumors of the paranasal sinuses abutting or eroding the orbital walls were studied for the need to remove the orbital contents. All patients had preliminary computed tomographic scans to delineate the extent of orbital invasion. All were treated with preoperative radiotherapy. If the tumor mass could be peeled from the periorbita, the eye was saved. Preservation of eyes in the patients without periosteal invasion did not alter survival. Frozen-section control may be used to determine periorbital involvement. If the periorbita was minimally involved, it was locally resected. If invasion of the periorbita was extensive, an orbital exenteration was done. Only five of 41 patients required exenteration. Local recurrence of disease in the orbit has not occurred in these patients.
对1977年至1985年间因鼻窦恶性肿瘤侵犯或侵蚀眶壁而接受手术的41例患者进行了研究，以确定是否需要摘除眶内容物。所有患者均进行了初步计算机断层扫描以明确眶内侵犯范围。所有患者均接受术前放疗。如果肿瘤块可以从眶骨膜上剥离，则保留眼球。在没有骨膜侵犯的患者中保留眼球并不影响生存率。冰冻切片检查可用于确定眶周受累情况。如果眶骨膜受累轻微，则进行局部切除。如果眶骨膜侵犯广泛，则进行眶内容剜除术。41例患者中只有5例需要进行眶内容剜除术。这些患者眼眶内未发生局部疾病复发。
